North Carolina Administrative Code
Title 10A - HEALTH AND HUMAN SERVICES
Chapter 71 - ADULT AND FAMILY SUPPORT
Subchapter M - COMMUNITY LIVING SERVICES
Section 71M .0103 - CRITERIA

(a) The client must be at a developmental level which will permit appropriate utilization of services.

(b) Individualized treatment plans shall be formulated, recorded, and updated by the service provider.

(c) When the service is purchased, a progress report on each client shall be sent to the county department of social services at the time of recertification.

(d) If the service is offered in conjunction with other programs in either institution or community, activities of the clients, personnel, and program expenditures shall be recorded so that reimbursements from Social Services Block Grant (Title XX) of the Social Security Act are identifiable and justifiable.

(e) A community facility housing the service shall meet safety, sanitation, and staffing requirements approved by the Department of Health and Human Services for adult developmental activities programs.

(f) All intrinsic elements identified in the service must be offered to clients as needed and appropriate to the particular person. All elements identified in the primary service definition as optional may be provided at the option of the provider.

(g) Even though the community living services program may be housed in the facility of another service program, it shall have its own service providers and provide them direct supervision and professional direction.

(h) The service must be provided for reasons specified in the definition and must be based on the individual needs of the client who cannot function independently in social situations.

(i) Periodic evaluation of the client and of the program must occur.

(j) There must be ongoing staff development for service providers.

(k) By virtue of special training, caregivers must be capable of providing community living services.

(l) Remedial services shall focus on highly specific, limited portions of behavior for the purpose of correcting, overcoming, or adjusting to difficulties in functioning.

(m) Any work activity training provided shall focus on those things which prepare an individual for employment. Employment itself is not considered work activity training.

(n) When speech therapy is offered, it shall be based on an individualized plan for the client designed by a speech therapist, which assists in the learning and development of appropriate speech and language patterns.

(o) When physical therapy is offered, it shall be based on an individualized plan for the client designed by a physical therapist, which assists in the learning and development of fine and gross motor skills.